Coder Auditor-Professional
Required skills
- High School Diploma
- CPC
- CEMA
- CPMA
- ICD-CM
- CPT
- HCPCS
- E&M assignment
- modifiers
- charge posting
Nice to have
- RHIT
- RHIA
Role summary
The Coder Auditor-Professional is responsible for auditing coding assignments with providers and coders, training coding professionals, and performing pro-fee based coding. This role involves assigning ICD-CM, CPT, HCPCS codes, E&M assignment, and modifiers, as well as charge posting. The auditor interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations to ensure appropriate documentation and data quality for optimal reimbursement. Key responsibilities include conducting audits, analyzing encounter accuracy, and training new staff.
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Coder Auditor-ProfessionalJob Description
Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.
Department: Physician coding
Hours: Full-Time; 40 hours required
Required: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hire
Pay: based on experience, starting at $23.87
At this time, we are only able to consider applicants who reside in the following states:
Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas
Responsibilities
Assists coders with coding questions., Conducts the collection andreporting of provider and
coder audit results and
education. Works with coders
and providers to ensure
appropriate documentation for
clinic services. Reports results
to Coding Supervisor - Professional., Demonstrates ability to code all types of encounters., Meets quality standards of
having 95% of diagnoses and
procedures appropriately
and/or correctly coded.
Ensures data quality and
optimum reimbursement
allowable under the federal
and state payment systems., Refers trend patterns of
coding and documentation to
Coding Supervisor –
Professional., Responsible for coding quality
audits for E/M Audit Program.
Analyze and confirm assigned
encounters for provider’s
selection of EM code level
utilizing EM code level
selection auditing tool are
accurate. Analyze and
confirm assigned encounters
for coder’s selection of
diagnoses and procedures
codes are accurate., Reviews record thoroughly to
ascertain all
diagnoses/procedures. Codes
all diagnoses/procedures in
accordance to ICD-CM and CPT
coding principles, official
guidelines and regulations., Trains new coding staff on
coding systems and processes.
Requirements
High School (Required)CEMA - Certified Evaluation & Management Auditor (within 6 months of hire) - Sarah Bush Lincoln, Certified Professional Coder - Sarah Bush Lincoln, CPMA - Certified Professional Medical Auditor (within 1 year of hire) - Sarah Bush Lincoln, Registered Health Information Technician (RHIT) - American Health Information Management Association or Registered Health Info Administrator (RHIA) - American Health Information Management Association - American Health Information Management AssociationCompensation
Estimated Compensation Range
$23.87 - $37.00Pay based on experience
